Article(id=1319291556419449536, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291312826863771, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.08.015, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792473218301, onlineDateStr=2026-10-20, pubDate=1786291200000, pubDateStr=2026-08-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792473218301, onlineIssueDateStr=2026-10-20, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792473218301, creator=13701087609, updateTime=1792473218301, updator=13701087609, issue=Issue{id=1319291312826863771, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='8', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1786291200000', pubDateStr='2026-08-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792473160225, creator='13701087609', updateTime=1792473382588, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1319292245547799195, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291312826863771, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1319292245652656796, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291312826863771, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=67, endPage=72, ext={EN=ArticleExt(id=1319291558294303425, articleId=1319291556419449536, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Study on Molecular Mechanism of Linggui Zhugan Decoction (苓桂术甘汤) Affecting VEGFC/VEGFR3 Pathway to Promote Lymphangiogenesis and Prevent Atherosclerosis, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the effect of vascular endothelial growth factor-C (VEGFC)/vascular endothelial growth factor receptor-3 (VEGFR3) pathway on the regulation of lymphangiogenesis on the occurrence of atherosclerosis (AS), and to reveal the intervention mechanism of Linggui Zhugan Decoction (苓桂术甘汤).
Methods ApoE-/-mice fed with high-fat diet were fed to construct an AS model, and C57BL/6J mice were used as the blank groups, which were blank control group, model group, Linggui Zhugan Decoction low, medium and high dose groups. The blood lipid levels of mice in each group were checked by automatic bioanalyzer, and the pathological changes of the mouse aorta were observed by HE staining, and the mRNA and protein levels of lymphatic vessel endothelial receptor-1 (LYVE-1), VEGFR3, vascular endothelial growth factor-D (VEGFD), vascular endothelial growth factor receptor-2 (VEGFR2), podoplanin (PDPN), protein kinase B (AKT), extracellular signal-regulated kinase 1/2 (ERK1/2) and VEGFC were detected by qRT-PCR and Western blot.
Results Compared with those of the control group, the serum levels of triglyceride (TG), total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C) in the model group were significantly increased (P<0.01), the structure of the aorta was abnormal, the large atheroma plaques were seen. The expressions of genes and proteins of LYVE-1, VEGFD, VEGFR2, PDPN, VEGFR3 and VEGFC in the aorta were significantly decreased (P<0.05 or P<0.01), and the protein expressions of AKT and ERK1/2 were significantly decreased (P<0.01). After the intervention of Linggui Zhugan Decoction, dyslipidemia was improved, the structure of the aortic wall was reduced, the atheroma plaque was reduced, the expressions of genes and proteins of LYVE-1, VEGFD, VEGFR2 and VEGFC in arteries were significantly increased (P<0.05 or P<0.01), the protein expressions of AKT and ERK1/2 in the aorta were significantly increased (P<0.05 or P<0.01) and the protein expressions of PDPN and VEGFR3 genes in the aortic of Linggui Zhugan Decoction medium and high dose groups were significantly increased (P<0.05 or P<0.01). Among them, the improvement of Linggui Zhugan Decoction high dose group was more obvious.
Conclusion Linggui Zhugan Decoction may promote lymphangiogenesis by affecting the VEGFC/VEGF3 pathway and participate in the regulation of the occurrence and development of AS.
, authors=Si CHEN, Nan SONG, Qun WANG, Jingxuan ZHU, Yuan CAO, authorsList=Si CHEN, Nan SONG, Qun WANG, Jingxuan ZHU, Yuan CAO, authorCompany=null, correspAuthors=Yuan CAO, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1319291559204467394, articleId=1319291556419449536, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=苓桂术甘汤影响VEGFC/VEGFR3通路促进淋巴管生成防治动脉粥样硬化分子机制研究, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的 探讨血管内皮生长因子C（Vascular endothelial growth factor-C，VEGFC）/血管内皮生长因子受体3（Vascular endothelial growth factor receptor-3，VEGFR3）通路影响淋巴管生成对动脉粥样硬化（Atherosclerotic，AS）发生进程的调控，并揭示苓桂术甘汤的干预机制。
方法 高脂饮食喂养ApoE-/-小鼠构建AS模型，C57BL/6J小鼠作为空白组，分为空白对照组、模型组以及苓桂术甘汤低、中、高剂量组，全自动生物分析仪检测各组小鼠血脂水平，HE染色观察小鼠主动脉病理学改变，qRT-PCR和Western Blot法检测小鼠主动脉淋巴管内皮受体-1（Lymphatic Vessel Endothelial Receptor-1，LYVE-1）、VEGFR3、血管内皮生长因子D（Vascular endothelial growth factor-D，VEGFD）、血管内皮生长因子受体2（Vascular endothelial growth factor receptor-2，VEGFR2）、平足蛋白（Podoplanin，PDPN）、蛋白激酶B（Protein kinase B，AKT）、细胞外信号调节激酶（Extracellular signal-regulated kinase 1/2，ERK1/2）、VEGFC基因mRNA及蛋白水平。
结果 与空白对照组相比，模型组小鼠血清甘油三酯（Triacylglycerol，TG）、总胆固醇（Total cholesterol，TC）、低密度脂蛋白胆固醇（Low-density lipoprotein cholesterol，LDL-C）水平显著升高（P<0.01），主动脉结构异常，可见较大粥样斑块，主动脉LYVE-1、VEGFD、VEGFR2、Podoplanin、VEGFR3、VEGFC基因及蛋白表达显著降低（P<0.05或P<0.01），AKT、ERK1/2蛋白表达显著降低（P<0.01）；经苓桂术甘汤干预后，血脂异常情况得以改善，主动脉壁结构异常减轻，粥样斑块减少，主动脉LYVE-1、VEGFD、VEGFR2、VEGFC基因及蛋白表达显著升高（P<0.05或P<0.01），主动脉AKT、ERK1/2蛋白表达显著升高（P<0.05或P<0.01），苓桂术甘汤中剂量组和高剂量组小鼠主动脉Podoplanin、VEGFR3基因及蛋白表达显著升高（P<0.05或P<0.01），其中，苓桂术甘汤高剂量组改善更为明显。
结论 苓桂术甘汤可能通过影响VEGFC/VEGF3通路促进淋巴管生成参与AS发生发展进程的调控。
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陈丝（1994-），女，辽宁阜新人，讲师，硕士，研究方向：中西医结合防治心脑血管疾病。
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陈丝（1994-），女，辽宁阜新人，讲师，硕士，研究方向：中西医结合防治心脑血管疾病。
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